Puracol collagen dressing, 1 x 8 inch at Central Georgia Rehabilitation LLC

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS

Macon, GA

See all payers reporting HCPCS A6021 →

Payers reporting HCPCS A6021 at Central Georgia Rehabilitation LLC

Negotiated rates from the hospital’s own file: 11 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Kaiser commercial fee schedule · both	$23	$23	—	—	—	$23 – $23
2	Aetna medicare advantage fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
3	Anthem medicare advantage fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
4	Humana medicare advantage fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
5	UnitedHealthcare medicare advantage fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
6	Caresource medicare advantage fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
7	Clover medicare advantage fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
8	Humana hmo/pos fee schedule · both	$42	$42	—	—	—	$42 – $42
9	Humana ppo fee schedule · both	$42	$42	—	—	—	$42 – $42
10	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$226	$226	—	—	—	$226 – $226
11	Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
12	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$384	$384	—	—	—	$384 – $384
13	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$444	$444	—	—	—	$444 – $444
14	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$445	$445	—	—	—	$445 – $445
15	Aetna pos percent of total billed charges · outpatientfrom % of charges	$490	$490	—	—	—	$490 – $490
16	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$490	$490	—	—	—	$490 – $490
17	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$490	$490	—	—	—	$490 – $490
18	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$490	$490	—	—	—	$490 – $490
19	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$490	$490	—	—	—	$490 – $490
20	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$496	$496	—	—	—	$496 – $496
21	Humana ppo percent of total billed charges · outpatientfrom % of charges	$518	$518	—	—	—	$518 – $518
22	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$520	$520	—	—	—	$520 – $520
23	MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges	$603	$603	—	—	—	$603 – $603
24	MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges	$603	$603	—	—	—	$603 – $603
25	Beechstreet commercial percent of total billed charges · inpatientfrom % of charges	$701	$701	—	—	—	$701 – $701

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